Ekstrand, Mary Jane

Ekstrand, Mary Jane is an sole proprietor health care provider with primary practice located at 1535 Neal Ln , Carbondale IL 62902-6235. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Ekstrand, Mary Jane can be contacted via phone (618) 527-0736.

Contact Information

Primary practice address
1535 Neal Ln Carbondale IL 62902-6235
Phone: (618) 527-0736
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1205170313
LBN Legal business name Ekstrand, Mary Jane
Credentials ED.S., BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2012
Last updated Nov 15th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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